Abstract
True aneurysms are rare. All patients were white Caucasian males. The most common physical sign was an expanding pulsatile mass. Femoral aneu rysms should be exercised with graft replacement. The complication of distal arterial emboli or rupture will be obviated. When the superior femoral artery is completely occluded in the presence of a femoral aneurysm femoral-popliteal bypass also should be done. The occurrence of both abdominal or iliac aneu rysms and femoral aneurysm can call for staging or complete repair. This judg ment depends on the patient's condition and the surgeon's experience.
A retrospective study revealed that 23 patients had 31 arteriosclerotic true femoral aneurysms. Twenty-three of 27 patients had a complete recovery with aneurysmectomy and prosthetic grafts. Preprosthetic endoaneurysmorrhaphy resulted in two early and late below-knee amputations. No improvement in claudication was present in two patients.
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